Individual
ALEXANDREA ENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7101
Mailing address
3360 GATEWAY RD STE 100, BROOKFIELD, WI 53045-5115
(262) 923-7101
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
WI
224Z00000X
Occupational Therapy Assistant
Primary
7285-27
WI
Other
Enumeration date
11/21/2025
Last updated
04/15/2026
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